从肝论治女性更年期失眠的中医证候分布和用药规律的文献研究

发布时间：2018-10-31 15:38

【摘要】：目的:通过分析中医药相关文献,探讨女性更年期失眠的中医证候分布规律和用药规律。方法:利用CNKI世纪期刊检索库对2007年6月-2016年6月中医药期刊文献所报道的女性更年期失眠相关文章进行检索,对其中涉及到的女性更年期失眠的证型、治则、用药规律进行统计分析。结果:共检出文献148篇,符合要求76篇;其中,有关中医证型47篇,有16种证候,以心肾不交证、肝肾阴虚、肝肾阴虚阳亢证等为主,与肝相关证候约占56.52%。基本证候分布以肝阴虚和肝阳亢盛等最为相关,总体与肝相关的最多,约占35.56%;有关治则76篇,提取基本治则20种,以滋肝养血、疏肝解郁和滋补肝阴等为主,以肝为关键的基本治则约占44.24%;涉及用药以白芍、酸枣仁、夜交藤等为主,前20位药物中归肝经的13味,约占70.58%。结论:"肝"在女性更年期失眠发病中较其他脏腑占有更重要地位。
[Abstract]:Objective: to study the distribution of TCM syndromes and drug use in female menopausal insomnia by analyzing the literature of TCM. Methods: the related articles of female menopausal insomnia reported in the literature of traditional Chinese medicine journals from June 2007 to June 2016 were searched by CNKI Century Journal Retrieval Database, and the syndromes and treatment principles of female menopausal insomnia were analyzed. The law of drug use was analyzed statistically. Results: a total of 148 documents were identified, 76 of which were in accordance with the requirements, among which 47 were related to TCM syndromes, with 16 syndromes, mainly of non-syndromes of heart and kidney, of which liver and kidney yin deficiency and yang hyperactivity were the main syndromes, and about 56.52 were related to liver syndrome. The distribution of basic syndromes was most related to liver yin deficiency and liver yang hyperactivity. There were 76 articles of relevant treatment, 20 kinds of basic principles were extracted, such as nourishing the liver and nourishing blood, relieving the liver and relieving the stagnation of the liver and nourishing the liver yin and so on, and the basic treatment principle of which the liver was the key was about 44.24%. The drugs involved were mainly white peony root, jujube kernel, night-jujube seed, and so on. The top 20 drugs belonged to 13 kinds of liver meridians, accounting for 70.58%. Conclusion: liver plays a more important role in female menopausal insomnia than other viscera.
【作者单位】：北京中医药大学;
【基金】：北京市东城区课题中医药特色健康管理项目(No.2010071620042)~~
【分类号】：R256.23

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